Navegando por Assunto "Ginecologia"

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Avaliação do conhecimento de médicos docentes sobre terapia de reposição hormonal da pós menopausa em uma instituição de ensino na Amazônia
(Centro Universitário do Estado do Pará, 2020) Sousa, Anna Caroline Nascimento de; Galvão, Bruna Sousa; Arêde, Mayana Batista Barros de; http://lattes.cnpq.br/3376521875715178
Introduction: KAP-type studies (knowledge, atittudes and practices) hinder a change in the perception of indications and also a significant reduction in the prescription of TH (hormonal therapy) as the impact of WHI (women health initiative) results. In this context, the realization of general data on the use of TH from the publication of WHI data and other studies carried out subsequently becomes relevant to assess both long-term and current impacts on the topic among prescribing physicians. Objective: to analyze the knowledge about hormone maintenance therapy in menopause among the documents of CESUPA's medical course. Methodology: This was cross-sectional, observational, analytical- descriptive study, where the study participants were teaching physicians from the Medicine course at the University Center of the State of Pará, in the city of Belém- PA. It was used a closed questionnaire as investigational instrument by the authors (appendix 1) and online (when in quarantine period) was used. Thirty- four medical professors were interviewed, after written consent or by digitally filling out their free and informed consent form. Results: All gynecologists and endocrinologists knew WHI and only 52.6% of teachers in other specialties knew about the study. Before the publication of WHI, vasomotor symptoms were the main indication of HT for Gynecologists (88.9%) and endocrinologists (83.3%). For the majority of teachers (63.2%) from other specialties, the prevention of osteoporosis remained the main indication for HT before and after studies. Regarding the change in the prescription of professors, 16.7% of endocrinologists affect the prescription of conjugated estrogens, 50% of them started to use non- oral routes of administration and 33.3% of the members of this group referred to the increase in the prescription of hormone therapy. The prescription of alternative therapies started to be defined by 55.6% of gynecologists and 31.6% of teachers of other specialties, after the WHI study. Conclusion: The survey carried out among doctors and professors at CESUPA revealed that most of them knew the WHI study, however, in the gynecologist group a greater number of professionals were found who knew the MILLIONS, HERS I and HERS II studies. It was found that most of the research participants knew the main indications for HT. Among the specialists, the TH indications remained the same before and after the WHI study, which are: vasomotor symptoms and genitourinary symptoms. But among teachers from other specialties there was a change in attitude in this regard, since before the WHI prevention of osteoporosis was pointed out as the main indication, being replaced by vasomotor symptoms after the study.
Produção da equipe multiprofissional no setor de tocoginecologia: uma revisão de literatura
(Centro Universitário do Estado do Pará, 2019) Soares, Ingrid Raiza Rodrigues; Santos, Maise Bessa Marques dos; Barros, Conceição do Socorro Damasceno; http://lattes.cnpq.br/7818503597048856; Rocha, Paula Sousa da Silva; http://lattes.cnpq.br/3929566584203932; Ruivo, Maria do Socorro da Silva
Nursing in gynecology and obstetrics has enormous importance in contributing to the improvement of health care, through the search for critical and reflexive knowledge, individual and collective. According to the Pan American Health Organization (PAHO) About 830 women die every day from complications related to pregnancy or childbirth worldwide. Provides knowledge for professionals. Care in obstetrics and gynecology that can be improved by experience and enhanced with theoretical knowledge arising from research, clinical practice and observation. The lack of support with a delivery hospital agreed with the Unified Health System (SUS), which led to overcrowding of the emergency and obstetric emergency hospital. To identify in the scientific database, studies on the procedures performed by the publications regarding the procedures performed by the multiprofessional team in the obstetric center (CO) and prepartum, delivery and postpartum (PPP) sectors, published in the years from 2009 to 2019. This is a retrospective exploratory study with a qualitative approach, and to reach the general objective, the RIL method was chosen by collecting data from articles from the following online databases: SCIELO , LILACS, BDENF. For a result and a suitable discussion, a research was used in the Virtual Health Library (VHL), with the following terms: Multiprofessional Team, Gynecology and Obstetrics. This resulted in 16 articles, being discussed from these: databases, year of publication of articles, area of writers training, work of the multiprofessional team and procedures cited in the articles. In this way the gynecological and obstetrical procedures are relevant topics in nursing and other areas, which must be constantly discussed in the scientific community, so that a quality service is offered and reflected in a humanized care, we always keep up to date on new procedures, always seeking professional updates, so that we offer a quality and effective service for these women.